CH-Parkway Pavillion LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2213C Issued in CT

Legal business name

CH-PARKWAY PAVILLION LLC

Doing business as

Parkway Pavilion Health and Rehabilitation Center

Practice address

1157 Enfield St
Enfield, CT 06082-4367

Phone

(860) 745-1641

NPI assigned

Apr 1, 2014

Organization subpart

Yes

Parent organization

CHESTNUT HEALTH AND REHABILITATION GROUP, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alan Silverman

Title

Director

Phone

(561) 801-7600

Specialties & licenses 1

Addresses

Other names 1

• Parkway Pavilion Health and Rehabilitation Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1407274103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 ENFIELD ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824367",
            "telephone_number": "860-745-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 ENFIELD ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824367",
            "telephone_number": "860-745-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH-PARKWAY PAVILLION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHESTNUT HEALTH AND REHABILITATION GROUP, INC.",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-801-7600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2213C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Pavilion Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sabrina Cassone, DPT
• Yanilsy E Castro
• Scott Michael Cato, D.C.
• Gabriela Nicole Cepeda de Jesus, MD
• Elizabeth Cestero, LCSW
• Kyle Jacob Chambers, M.D.
• Amber R Chapman
• Suzanne Chayes, LCSW
• Elliot Jay Check, DDS
• Candace Chester

• Skilled Nursing Facility in Enfield, CT
• Providers in Enfield, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.